Universitas Indonesia Conferences, The 4th International Conference for Global Health (ICGH)

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NURSES’ EXPERIENCE IN THE ROLE OF EDUCATORS TO IMPROVE ADHERENCE FLUID INTAKE AND DIETS HEMODIALYSIS PATIENTS : A QUALITATIVE STUDY
Dwi Retno Sulistyaningsih

Last modified: 2019-08-30

Abstract


Hemodialysis (HD) is the main therapy, the most widely used and plays an important role in replacing the kidney function needed as well as can sustain the lives of patients with end-stage kidney disease. Hemodialysis is successful in extending the patient's age but the mortality rate is still high and results in various problems cause  to therapy to be difficult. Adherence helps patients achieve good therapeutic results to reduce morbidity and mortality. During the process, nurses rarely communicate with patients, and educate patients. The exploration of the experience of HD nurses in providing education is important in order to know their experience in their role as an educator in improving adherence  to fluid and dietary restrictions. The purpose of this study was to explore nurses' experiences in their role as an educator in improving  adherence patient. The design of this study used a qualitative phenomenological method with a purposive sampling method. Eight nurses were selected for in-depth interviews. Data analysis was conducted using the Colaizzi method. The results of the study found five themes, namely: 1). Nurses and patients often interact so that they have many opportunities to increase knowledge and motivate patients 2). Education is carried out spontaneously using several methods and involves other professions, other patients and families 3). Various obstacles in conducting education 4). Improve the ability to do better education to realize their expectations of patients 5). Benefits for nurses.

Keywords : Nurse experience, Educator role, Adherence, Fluid intake, Diet , Hemodialysis